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Effect of guideline revisions by the Swiss Society of Hypertension on blood pressure control in hypertensive patients from primary care
The 2009 guideline change in high-risk patients was associated with a reduction in systolic office blood pressure together with an increase in pharmacological combination therapy. These results highlight primary care physicians’ efforts to implement blood pressure guidelines. Further, blood pressure goal attainment was more likely to be achieved in later follow-up visits.
What interventions do general practitioners recommend avoiding? A nationwide survey from Switzerland
Most suggestions from GPs were concordant with previously published recommendations of interventions to avoid, independently of GPs knowledge of these and reflecting their high clinical relevance. In addition, our study revealed some more relevant topics and may help to develop future “Choosing Wisely” recommendations, with the final goal to reduce low-value care.
Transmission risk of SARS-CoV-2 to healthcare workers –observational results of a primary care hospital contact tracing
The current protective measures for healthcare workers, including strict adherence to basic standard hygiene and facemasks, offer considerable protection during short periods of contact with symptomatic COVID-19 cases by diminishing the risk of direct and indirect transmission.
Quality of sleep in patients with nocturnal leg cramps and validity of a single-item measure of cramp-related sleep disturbance: an observational study
Nocturnal leg cramps are characterised by sudden and painful involuntary contractions of the lower limbs occurring during sleep or at rest. Only a few studies have addressed the impact of nocturnal leg cramps on sleep quality.
Swiss gout patients receive comprehensive treatment, which is reflected in a high number of patients treated with urate-lowering therapy, laboratory tests per person and a high treatment success rate, although there is no systematic approach to the treatment of gout.
Even though substance users and people with a high level of physical activity are two population groups that have been the subjects of many studies, the general link between substance use and level of physical activity is much less discussed.
In Switzerland, Clinical practice guidelines (CPGs) are not generally registered by a single central institution. Therefore, the total number and overall quality of the existing guidelines are not known.
Advanced carotid atherosclerosis in middle-aged subjects: comparison with PROCAM and SCORE risk categories, the potential for reclassification and cost-efficiency of carotid ultrasound in the setting of primary care
This study compared use of carotid ultrasound for risk classification with PROCAM and SCORE risk categories, and investigated the potential for reclassification and cost-efficiency in the setting of primary care.
Nocturnal leg cramps are common among older patients in primary care, but only some patients suffer from a relatively high number of cramps and/or cramps seriously affecting their quality of life. Future research should focus on the development of new approaches with real therapeutic benefits to treat these patients.
What makes internal medicine attractive for the millennial generation? A survey of residents in internal medicine in Switzerland
A new generation of physicians, millennials (also known as Generation Y), are entering residency programmes in internal medicine, and these young men and women learn and work in ways that are different from those of past generations.